Classic Fettuccine and Meatballs

Nothing beats this comforting Fettuccine and Meatballs—tender, flavorful homemade meatballs simmered in a rich tomato sauce, served over perfectly cooked fettuccine. It’s a hearty Italian-American favorite that’s surprisingly easy to make from scratch and perfect for family dinners or cozy nights in!

Ingredients

For the Meatballs:

  • 1 lb ground beef (or a mix of beef and pork for extra tenderness)
  • ½ cup breadcrumbs (Italian-seasoned preferred)
  • ¼ cup grated Parmesan cheese
  • ¼ cup fresh parsley, chopped
  • 1 large egg
  • 2 cloves garlic, minced
  • 1 tsp dried oregano
  • ½ tsp salt
  • ¼ tsp black pepper
  • ¼ tsp red pepper flakes (optional, for a subtle kick)
  • Olive oil (for browning)

For the Sauce:

  • 1 can (28 oz) crushed tomatoes
  • 2 tbsp olive oil
  • 1 onion, finely chopped
  • 2 cloves garlic, minced
  • 1 tsp dried oregano
  • ½ tsp dried basil
  • ½ tsp sugar (to balance acidity)
  • Salt and pepper, to taste
  • Fresh basil or parsley, for garnish (optional)

For the Fettuccine:

  • 1 lb fettuccine pasta
  • Salt (for pasta water)
  • Freshly grated Parmesan cheese (for serving)

Instructions

  1. Make the Meatballs: In a large bowl, combine the ground beef, breadcrumbs, Parmesan, parsley, egg, minced garlic, oregano, salt, pepper, and red pepper flakes (if using). Mix gently with your hands until just combined—overmixing makes tough meatballs. Roll into 1½-inch balls (about 20-24).
  2. Brown the Meatballs: Heat a generous drizzle of olive oil in a large skillet over medium heat. Add the meatballs in batches and brown on all sides (6-7 minutes). They don’t need to be fully cooked yet. Transfer to a plate.
  3. Prepare the Sauce: In the same skillet, add 2 tbsp olive oil if needed. Sauté the onion until softened (3-4 minutes). Add garlic and cook 1 minute more. Stir in crushed tomatoes, oregano, basil, sugar, salt, and pepper. Nestle the browned meatballs back in.
  4. Simmer: Cover and simmer on low for 20-25 minutes, stirring occasionally, until meatballs are cooked through and sauce thickens.
  5. Cook the Pasta: Bring a large pot of salted water to a boil. Cook fettuccine according to package directions (8-10 minutes for al dente). Drain, reserving ½ cup pasta water.
  6. Assemble: Toss the fettuccine with the sauce and meatballs. Add reserved pasta water if needed to loosen the sauce. Serve hot, topped with extra Parmesan and fresh herbs.

This dish is pure comfort food—hearty, flavorful, and better than takeout. Pair with garlic bread and a simple salad for the ultimate meal! 🍝🥩

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